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1114244753
JOE EDWARD MONTGOMERY
DETROIT, MI
NPI
1114244753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-04-21
Last Update Date
2010-04-21
Business Address
Mr. JOE EDWARD MONTGOMERY
3570 GUILFORD ST
DETROIT, MI 48224-2240
Phone number: 313-720-1787
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Mailing Address
Mr. JOE EDWARD MONTGOMERY
3570 GUILFORD ST
DETROIT, MI 48224-2240
Phone number: 313-720-1787
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